Health Care Fraud Schemes: Medical Doctor
Investigating Modifier 25
This webinar will examine modifier 25 and appropriate usage by medical doctors, particularly general practitioners. The speakers will present concepts through a case study where the initial assessment suggested a straightforward billing adjustment for using modifier 25 with Evaluation and Management (E&M) services was needed. However, you will hear how additional billed codes which lacked corresponding documentation in the medical records were discovered through a detailed examination. Explore best practices for reviewing modifier 25, focusing on precise code application and documentation requirements. Gain valuable insights to better detect anomalies in your claims data and medical record review.
Speakers
Kristin Griego, CFE, AHFI, CPC
Program Director, Special Investigation Unit, Molina Healthcare
Lisa Durie, CPC, CPMA
Lead Investigator, Special Investigation Unit, Molina Healthcare
New Registration Process for 2024
- This webinar will be complimentary to employees of Member Organizations, Affiliate Members, Government Liaisons, and Supporting Members for one month from start of program.
- After one month, there will be a $50.00 fee to register for all Member Organizations.
- Individual Members may purchase the webinar from for $50.00.
Registration Information
REGISTRATION RATES
| September 1 – 30 | October 1 – December 31 | |
| NHCAA Member Organizations1 | Complimentary | $50 |
| NHCAA Government Liaisons2 | Complimentary | $50 |
| Individual Members3 | $50 | $50 |
REGISTRATION POLICIES
Complimentary registration closes on the last day of the month. Paid registration is open for three (3) additional months after the complimentary time-period ends. The registration period for both complimentary and paid registrations will end at 11:59 pm Pacific Time.Cancellation/Substitution
All cancellations (regardless of date) will be assessed with a $10 administrative fee. All written notice of cancellations and substitutions should be sent via email to training@nhcaa.org. Cancellations received within 5 days of the date of purchase will result in a refund minus an administrative fee if the training has not occurred. No refunds will be issued if any portion of the webinar has been viewed. Registrations are non-transferrable for webinars.Concerns
For more information regarding administrative policies such as refunds, cancellations and complaints, please email training@nhcaa.org.Details & Frequently Asked Questions
Webinar programs are most appropriate for beginning and mid-career analysts, investigators, consultants, and law enforcement agents working in the health care anti-fraud industry.
As a level II, or intermediate program, some investigative / health care / coding expertise is assumed. Training content is focused on the detection and investigative processes, using case examples to highlight strategy and techniques.
There are no pre-requisite requirements to attend webinar programs.
All webinars are approved by: NHCAA for 1 CPE
Participants earn 1 Continuing Professional Education (CPE) hours applicable to the training requirements for the Accredited Health Care Fraud Investigator (AHFI®) designation.
Webinars are delivered via NHCAA Learn. You will need a good internet connection and an up-to-date version of Chrome, Firefox, Edge, or Safari. Internet Explorer is not recommended and will not render content correctly.
Video content will open in a pop-up window. You may need to disable a pop-up blocker.
Our FAQ website will be available soon. Registration and login questions can go to training@nhcaa.org. Questions about content or NHCAA Learn functionality can be directed to learn@nhcaa.org.
1Member Rate applies to all NHCAA Member Organizations, Affiliate Members, and Platinum Supporting, Premier Supporting and Supporting Members.
2Government Liaison Rate applies to employees of NHCAA Government Liaisons only.
3 Individual Member Rate applies to individuals that have applied for and been approved for individual membership and whose membership dues are current.
- CPEs: 1
